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  1. Article ; Online: Lung ultrasound and supine chest X-ray use in modern adult intensive care: mapping 30 years of advancement (1993-2023).

    Vetrugno, Luigi / Biasucci, Daniele Guerino / Deana, Cristian / Spadaro, Savino / Lombardi, Fiorella Anna / Longhini, Federico / Pisani, Luigi / Boero, Enrico / Cereser, Lorenzo / Cammarota, Gianmaria / Maggiore, Salvatore Maurizio

    The ultrasound journal

    2024  Volume 16, Issue 1, Page(s) 7

    Abstract: In critically ill patients with acute respiratory failure, thoracic images are essential for evaluating the nature, extent and progression of the disease, and for clinical management decisions. For this purpose, computed tomography (CT) is the gold ... ...

    Abstract In critically ill patients with acute respiratory failure, thoracic images are essential for evaluating the nature, extent and progression of the disease, and for clinical management decisions. For this purpose, computed tomography (CT) is the gold standard. However, transporting patients to the radiology suite and exposure to ionized radiation limit its use. Furthermore, a CT scan is a static diagnostic exam for the thorax, not allowing, for example, appreciation of "lung sliding". Its use is also unsuitable when it is necessary to adapt or decide to modify mechanical ventilation parameters at the bedside in real-time. Therefore, chest X-ray and lung ultrasound are today's contenders for shared second place on the podium to acquire a thoracic image, with their specific strengths and limitations. Finally, electrical impedance tomography (EIT) could soon have a role, however, its assessment is outside the scope of this review. Thus, we aim to carry out the following points: (1) analyze the advancement in knowledge of lung ultrasound use and the related main protocols adopted in intensive care units (ICUs) over the latest 30 years, reporting the principal publications along the way, (2) discuss how and when lung ultrasound should be used in a modern ICU and (3) illustrate the possible future development of LUS.
    Language English
    Publishing date 2024-02-12
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 2965029-X
    ISSN 2524-8987 ; 2036-3176
    ISSN (online) 2524-8987
    ISSN 2036-3176
    DOI 10.1186/s13089-023-00351-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: "Sigmoid diverticulitis mimicking cholecystitis" a clinical challenge.

    Pulzato, Ilaria / Boero, Enrico / Shaipi, Elona / Cardinale, Luciano

    The ultrasound journal

    2019  Volume 11, Issue 1, Page(s) 14

    Abstract: Diverticular disease is a common disorder and its incidence increases with ageing. Pathophysiology is multifactorial. Lifestyle, including smoking, alcohol intake, decreased dietary fibres and lack of physical activity, plays a predominant role. Genetics ...

    Abstract Diverticular disease is a common disorder and its incidence increases with ageing. Pathophysiology is multifactorial. Lifestyle, including smoking, alcohol intake, decreased dietary fibres and lack of physical activity, plays a predominant role. Genetics seems also to contribute specifically for right-sided diverticular disease (RSD). The majority of the patients with diverticular disease are asymptomatic. Diverticulitis is the inflammation of the diverticula usually presenting with abdominal pain associated to nausea, vomiting, rectal bleeding, diarrhoea and fever. When the inflammation process affects the diverticula in the ascending colon, the condition represents a clinical challenge as it can be easily misdiagnosed with other acute abdominal emergencies. We reported a case of a 70-year-old female who presented to our Emergency Department (ED) with right upper quadrant pain and an initial clinical suspicion of cholecystitis. Ultrasound (US) and Computed Tomography (CT) demonstrated an anatomical variation of the sigmoid colon diverticulitis. This clinical report demonstrates that ultrasound plays a relevant part as first-step approach to the acute abdominal conditions and its accuracy increases together with other diagnostic tools such as Computer Tomography.
    Language English
    Publishing date 2019-06-11
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2965029-X
    ISSN 2524-8987 ; 2036-3176
    ISSN (online) 2524-8987
    ISSN 2036-3176
    DOI 10.1186/s13089-019-0127-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The role of lung ultrasonography in COVID-19 disease management.

    Boero, Enrico / Schreiber, Annia / Rovida, Serena / Vetrugno, Luigi / Blaivas, Michael

    Journal of the American College of Emergency Physicians open

    2020  Volume 1, Issue 6, Page(s) 1357–1363

    Abstract: Coronavirus disease 2019 (COVID-19) has created unprecedented disruption for global healthcare systems. Offices and emergency departments (EDs) were the first responders to the pandemic, followed by medical wards and intensive care unit (ICUs). Worldwide ...

    Abstract Coronavirus disease 2019 (COVID-19) has created unprecedented disruption for global healthcare systems. Offices and emergency departments (EDs) were the first responders to the pandemic, followed by medical wards and intensive care unit (ICUs). Worldwide efforts sprouted to coordinate proper response by increasing surge capacity and optimizing diagnosis and containment. Within the complex scenario of the outbreak, the medical community shared scientific research and implemented best-guess imaging strategies in order to save time and additional staff exposures. Early publications showed agreement between chest computed tomography (CT) and lung sonography: widespread ground-glass findings resembling acute respiratory distress syndrome (ARDS) on CT of COVID-19 patients matched lung ultrasound signs and patterns. Well-established accuracy of bedside sonography for lung conditions and its advantages (such as no ionizing radiation; low-cost, real-time bedside imaging; and easier disinfection steps) prompted a wider adoption of lung ultrasound for daily assessment and monitoring of COVID-19 patients. Growing literature, webinars, online materials, and international networks are promoting lung ultrasound for the same purpose. We propose 11 lung ultrasound roles for different medical settings during the pandemic, starting from the out-of-hospital setting, where lung ultrasound has ergonomic and infection control advantages. Then we describe how medical wards and ICUs can safely integrate lung ultrasound into COVID-19 care pathways. Finally, we present outpatient use of lung ultrasound to aid follow-up of positive case contacts and of those discharged from the hospital.
    Keywords covid19
    Language English
    Publishing date 2020-07-21
    Publishing country United States
    Document type Journal Article
    ISSN 2688-1152
    ISSN (online) 2688-1152
    DOI 10.1002/emp2.12194
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Lung Ultrasound and the COVID-19 "Pattern": Not All That Glitters Today Is Gold Tomorrow.

    Vetrugno, Luigi / Bove, Tiziana / Orso, Daniele / Bassi, Flavio / Boero, Enrico / Ferrari, Giovanni

    Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine

    2020  Volume 39, Issue 11, Page(s) 2281–2282

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Humans ; Lung/diagnostic imaging ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; Ultrasonography
    Keywords covid19
    Language English
    Publishing date 2020-05-08
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 604829-8
    ISSN 1550-9613 ; 0278-4297
    ISSN (online) 1550-9613
    ISSN 0278-4297
    DOI 10.1002/jum.15327
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: “Sigmoid diverticulitis mimicking cholecystitis” a clinical challenge

    Ilaria Pulzato / Enrico Boero / Elona Shaipi / Luciano Cardinale

    The Ultrasound Journal, Vol 11, Iss 1, Pp 1-

    2019  Volume 4

    Abstract: Abstract Diverticular disease is a common disorder and its incidence increases with ageing. Pathophysiology is multifactorial. Lifestyle, including smoking, alcohol intake, decreased dietary fibres and lack of physical activity, plays a predominant role. ...

    Abstract Abstract Diverticular disease is a common disorder and its incidence increases with ageing. Pathophysiology is multifactorial. Lifestyle, including smoking, alcohol intake, decreased dietary fibres and lack of physical activity, plays a predominant role. Genetics seems also to contribute specifically for right-sided diverticular disease (RSD). The majority of the patients with diverticular disease are asymptomatic. Diverticulitis is the inflammation of the diverticula usually presenting with abdominal pain associated to nausea, vomiting, rectal bleeding, diarrhoea and fever. When the inflammation process affects the diverticula in the ascending colon, the condition represents a clinical challenge as it can be easily misdiagnosed with other acute abdominal emergencies. We reported a case of a 70-year-old female who presented to our Emergency Department (ED) with right upper quadrant pain and an initial clinical suspicion of cholecystitis. Ultrasound (US) and Computed Tomography (CT) demonstrated an anatomical variation of the sigmoid colon diverticulitis. This clinical report demonstrates that ultrasound plays a relevant part as first-step approach to the acute abdominal conditions and its accuracy increases together with other diagnostic tools such as Computer Tomography.
    Keywords Diverticulitis ; Ultrasound ; Computed Tomography ; Colon embryologic abnormalities ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 610
    Language English
    Publishing date 2019-06-01T00:00:00Z
    Publisher SpringerOpen
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: The role of lung ultrasonography in COVID‐19 disease management

    Boero, Enrico / Schreiber, Annia / Rovida, Serena / Vetrugno, Luigi / Blaivas, Michael

    Journal of the American College of Emergency Physicians Open ; ISSN 2688-1152 2688-1152

    2020  

    Keywords covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    DOI 10.1002/emp2.12194
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article: Influence of speciation distribution and particle size on heavy metal leaching from MSWI fly ash

    Bernasconi, Davide / Caviglia, Caterina / Destefanis, Enrico / Agostino, Angelo / Boero, Renato / Marinoni, Nicoletta / Bonadiman, Costanza / Pavese, Alessandro

    Waste management. 2022 Feb. 01, v. 138

    2022  

    Abstract: Fly ash from municipal solid waste incineration (MSWI-FA) contains leachable heavy metals. In the present study the correlations between heavy metal content, particle size, speciation distribution with respect to water leaching are investigated, using a ... ...

    Abstract Fly ash from municipal solid waste incineration (MSWI-FA) contains leachable heavy metals. In the present study the correlations between heavy metal content, particle size, speciation distribution with respect to water leaching are investigated, using a combination of solid-state bulk analytical techniques, leaching treatments, sequential extractions and thermodynamic geochemical modelling. Among the analyzed heavy metals, Zn and Pb are the most abundant in any grain size class, followed by Cu, Cr, Cd and Ni, with concentration that tends to increase with a decrease of the grain size. The phase composition is constituted of salt (halite, sylvite, anhydrite and syngenite), which provide the main minerals regardless of the particle size class; calcite, quartz and gehlenite occur in comparatively lower amounts, while 50% wt is composed of amorphous fraction. Heavy metal leaching is strongly correlated to speciation distribution, and in particular to the fraction (F1) associated with salt, carbonate and weak surface sorption. Leaching from speciation due to surface complexation on Al/Fe (hydr)oxide becomes relevant at acidic regime. Particle size and heavy metal content, in turn, moderately correlate with leaching. The F1-speciation as a function of particle size does not exhibit a definite trend shared by all heavy metals under investigation. This suggests that i) differences in speciation distribution, rather than bare heavy metal content or particle size, govern leaching from MSWI-FA; ii) F1 can be regarded as a marker of the potential heavy metal leaching; iii) a comparatively modest efficiency in managing MSWI-FA is expected from grain size separation strategies.
    Keywords anhydrite ; calcite ; carbonates ; fly ash ; heavy metals ; municipal solid waste ; particle size ; quartz ; sorption ; thermodynamics ; waste incineration
    Language English
    Dates of publication 2022-0201
    Size p. 318-327.
    Publishing place Elsevier Ltd
    Document type Article
    ZDB-ID 2001471-5
    ISSN 1879-2456 ; 0956-053X
    ISSN (online) 1879-2456
    ISSN 0956-053X
    DOI 10.1016/j.wasman.2021.12.008
    Database NAL-Catalogue (AGRICOLA)

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  8. Article ; Online: Influence of speciation distribution and particle size on heavy metal leaching from MSWI fly ash.

    Bernasconi, Davide / Caviglia, Caterina / Destefanis, Enrico / Agostino, Angelo / Boero, Renato / Marinoni, Nicoletta / Bonadiman, Costanza / Pavese, Alessandro

    Waste management (New York, N.Y.)

    2021  Volume 138, Page(s) 318–327

    Abstract: Fly ash from municipal solid waste incineration (MSWI-FA) contains leachable heavy metals. In the present study the correlations between heavy metal content, particle size, speciation distribution with respect to water leaching are investigated, using a ... ...

    Abstract Fly ash from municipal solid waste incineration (MSWI-FA) contains leachable heavy metals. In the present study the correlations between heavy metal content, particle size, speciation distribution with respect to water leaching are investigated, using a combination of solid-state bulk analytical techniques, leaching treatments, sequential extractions and thermodynamic geochemical modelling. Among the analyzed heavy metals, Zn and Pb are the most abundant in any grain size class, followed by Cu, Cr, Cd and Ni, with concentration that tends to increase with a decrease of the grain size. The phase composition is constituted of salt (halite, sylvite, anhydrite and syngenite), which provide the main minerals regardless of the particle size class; calcite, quartz and gehlenite occur in comparatively lower amounts, while 50% wt is composed of amorphous fraction. Heavy metal leaching is strongly correlated to speciation distribution, and in particular to the fraction (F1) associated with salt, carbonate and weak surface sorption. Leaching from speciation due to surface complexation on Al/Fe (hydr)oxide becomes relevant at acidic regime. Particle size and heavy metal content, in turn, moderately correlate with leaching. The F1-speciation as a function of particle size does not exhibit a definite trend shared by all heavy metals under investigation. This suggests that i) differences in speciation distribution, rather than bare heavy metal content or particle size, govern leaching from MSWI-FA; ii) F1 can be regarded as a marker of the potential heavy metal leaching; iii) a comparatively modest efficiency in managing MSWI-FA is expected from grain size separation strategies.
    MeSH term(s) Carbon ; Coal Ash ; Incineration ; Metals, Heavy/analysis ; Particle Size ; Particulate Matter ; Refuse Disposal ; Solid Waste
    Chemical Substances Coal Ash ; Metals, Heavy ; Particulate Matter ; Solid Waste ; Carbon (7440-44-0)
    Language English
    Publishing date 2021-12-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2001471-5
    ISSN 1879-2456 ; 0956-053X
    ISSN (online) 1879-2456
    ISSN 0956-053X
    DOI 10.1016/j.wasman.2021.12.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: In reply.

    Volpicelli, Giovanni / Boero, Enrico / Skurzak, Stefano / Anile, Antonio

    Anesthesiology

    2015  Volume 123, Issue 3, Page(s) 720–722

    MeSH term(s) Extravascular Lung Water/physiology ; Female ; Humans ; Lung/diagnostic imaging ; Male ; Pulmonary Wedge Pressure/physiology ; Ultrasonography
    Language English
    Publishing date 2015-09
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 269-0
    ISSN 1528-1175 ; 0003-3022
    ISSN (online) 1528-1175
    ISSN 0003-3022
    DOI 10.1097/ALN.0000000000000790
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  10. Article ; Online: B lines in COVID-19: "Unspecificity" is not "meaningless".

    Vetrugno, Luigi / Bove, Tiziana / Orso, Daniele / Barbariol, Federico / Bassi, Flavio / Boero, Enrico / Ferrari, Giovanni / Kong, Robert

    Echocardiography (Mount Kisco, N.Y.)

    2020  Volume 37, Issue 7, Page(s) 1140–1141

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Humans ; Lung ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; Ultrasonography
    Keywords covid19
    Language English
    Publishing date 2020-06-18
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 843645-9
    ISSN 1540-8175 ; 0742-2822
    ISSN (online) 1540-8175
    ISSN 0742-2822
    DOI 10.1111/echo.14768
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